
Clinical Benefits
Clinical Benefits
The Menopause Ultra Complex provides targeted support for women experiencing the hormonal transitions of perimenopause and post-menopause. This formula combines clinically-studied ingredients that work to alleviate the common symptoms of estrogen decline while supporting long-term health during this critical life stage.
Fenugreek extract, derived from Trigonella foenum-graecum seeds, offers powerful relief for vasomotor symptoms through its unique steroidal saponins, particularly diosgenin, which exhibit estrogenic activity by mimicking the body's natural estrogens. In a clinical study involving 22 postmenopausal women taking 250 mg twice daily for 8 weeks, remarkable improvements were observed within just 2 weeks. Hot flashes were reduced by 65%, night sweats decreased by 76%, and leg muscle and joint pain dropped by 86%. Psychological symptoms like irritability also improved significantly, and vaginal dryness showed substantial relief compared to placebo [1][2].
The fenugreek's effectiveness extends beyond symptom relief to hormonal balance restoration. Biochemical analysis demonstrated significant increases in estradiol (E2) levels, counteracting the drop characteristic of menopause, while free testosterone and progesterone levels also increased, supporting overall hormonal equilibrium. Concurrently, follicle-stimulating hormone (FSH) levels decreased, which is the expected response when estrogen levels rise, indicating the body's positive adaptation to supplementation [1][2].
Black cohosh (Actaea racemosa) root and rhizome extract provides comprehensive menopausal symptom relief through a different mechanism than estrogenic herbs. A comprehensive analysis of 35 clinical studies involving 13,096 participants demonstrated that the standard dose of 40 mg daily for 12 weeks to 6 months produced significant improvements. Hot flushes were reduced significantly after just 4 weeks, with up to 75% reduction achieved in total symptoms. Sweating, sleep disturbances, anxiety, and mood instability were also significantly improved, with some studies observing 50-70% symptom reduction by 3 months [3].
Unlike estrogen-mimicking compounds, black cohosh works by modulating neurotransmitters such as serotonin, dopamine, GABA, and thermoregulatory pathways in the central nervous system, making it effective without direct estrogenic activity. This unique mechanism allows it to provide efficacy comparable to low-dose transdermal estradiol while being well-tolerated with fewer adverse effects and no liver toxicity concerns [3].
The LipiSperse delivery system enhances the bioavailability of these active compounds, ensuring optimal absorption and therapeutic effectiveness. This advanced formulation technology helps maximize the clinical benefits of both fenugreek and black cohosh extracts for comprehensive menopausal support.
Ingredients
LipiSperse® Libifem® Trigonella foenum-graecum (Fenugreek) ext.
ext. equiv. dry (seed)
300 mg
9.9 g
LipiSperse® Actaea racemosa (Black cohosh) ext.
ext. equiv. dry (root & rhizome)
30 mg
450 mg
Instructions
Instructions
Dosage
1 capsule twice daily with water
Duration
Suitable for long-term support of hormonal balance in peri- and postmenopausal states.
Warnings
Do not exceed 2 capsules daily
Always read the label
Dietary supplements should not replace a balanced diet
If symptoms persist, worsen or change unexpectedly, consult your healthcare professional
Contains trigonella foenum-graecum; may potentiate hypoglycaemic effect of hypoglycaemic medication
Do not use if you have pre-existing liver conditions or seizure disorders
In very rare cases, black cohosh has been associated with liver failure. If you are experiencing yellowing of the skin or whites of the eyes, dark urine, nausea, vomiting, unusual tiredness, weakness, stomach or abdominal pain, and/or loss of appetite, you should stop using this product and see your doctor
Contraindications
Contraindications
This supplement may interact with the following categories of medications, as well as specific active ingredients.
• Medications for diabetes
• Medications that slow blood clotting
• Metoprolol
• Phenytoin
• Sildenafil
• Warfarin
• Toprol
• Dilantin
• Viagra
• Theophylline
• Cisplatin
• Estrogens
• Medications changed by the liver - refer list
• Medications that can harm the liver
• Serotonergic drugs
• Medications moved by pumps in cells - refer list
Further details are provided below.
Please note that medications may be sold under different brand names, so check the listed active ingredients against your medication packaging.
Major Interactions
Moderate Interactions
Medications for diabetes
• Glyburide
• Glipizide
• Insulin
• Sitagliptin
• Empagliflozin
• Semaglutide
• Dapagliflozin
Fenugreek might lower blood sugar levels. Taking fenugreek along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.
Medications that slow blood clotting
• Heparin
• Rivaroxaban
• Apixaban
• Dabigatran
• Clopidogrel
Fenugreek might slow blood clotting. Taking fenugreek along with medications that also slow blood clotting might increase the risk of bruising and bleeding.
Metoprolol
Fenugreek might lower blood pressure. Taking fenugreek with metoprolol might cause blood pressure to drop too low.
Phenytoin
Fenugreek might decrease levels of phenytoin in the body. Taking fenugreek with phenytoin might reduce the effects of phenytoin.
Sildenafil
Fenugreek might reduce levels of sildenafil in the body. Taking fenugreek with sildenafil might reduce the effects of sildenafil.
Theophylline
Fenugreek might reduce how much theophylline is absorbed by the body. Using fenugreek while taking theophylline might reduce the effects of theophylline.
• Jantoven
• Used for: blood thinning, clot prevention
Warfarin is used to slow blood clotting. Fenugreek might also slow blood clotting. Taking fenugreek along with warfarin might increase the chances of bruising and bleeding. Be sure to have your blood checked regularly. The dose of your warfarin might need to be changed.
Cisplatin
• Platinol-AQ
Cisplatin is used to treat cancer. There is some concern that black cohosh might decrease how well cisplatin works for cancer.
Estrogens
• Oral contraceptive pill
• Estradiol
• Conjugated estrogens
• HRT combination products
Black cohosh might have some of the same effects as estrogen. Taking black cohosh along with estrogen pills might decrease the effects of estrogen pills.
Medications changed by the liver
• Tramadol
• Metoprolol
• Fluoxetine
• Paroxetine
• Tamoxifen
• Amitriptyline
Some medications are changed and broken down by the liver. Black cohosh might change how quickly the liver breaks down these medications. If you are taking medications metabolised by the liver, monitor for any changes in how your medication affects you.
Medications that can harm the liver
• Acetaminophen / Paracetamol
• Methotrexate
• Atorvastatin
• Simvastatin
• Isoniazid
Black cohosh might harm the liver. Some medications can also harm the liver. Taking black cohosh along with a medication that can harm the liver might increase the risk of liver damage.
Serotonergic drugs
• Fluoxetine
• Sertraline
• Escitalopram
• Venlafaxine
• Duloxetine
• Tramadol
• MAOIs
Black cohosh might increase a brain chemical called serotonin. Some medications also have this effect. Taking black cohosh along with these medications might increase serotonin too much. This might cause serious side effects including heart problems, seizures, and vomiting.
Minor Interactions
Medications moved by pumps in cells
• Organic anion-transporting polypeptide substrates
Some medications are moved in and out of cells by pumps. Black cohosh might change how these pumps work and change how much medication stays in the body. In some cases, this might change the effects and side effects of a medication.

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• Reduces hot flashes by 65% and night sweats by 76% within 2 weeks of supplementation
• Significantly increases estradiol levels while balancing testosterone and progesterone
• Provides up to 75% reduction in total menopausal symptoms including sleep disturbances and anxiety